Determination of Anterior Segment Optical Coherence Tomography for Demonstrating Posterior Capsular Rent in Posterior Polar Cataract

Authors

  • George D. Kymionis Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece and Bascom Palmer Eye Institute, University of Miami, Miller school of Medicine, Miami, Florida, USA.
  • Vasilios F. Diakonis Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece.
  • Dimitrios A. Liakopoulos Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece.
  • Konstantinos I. Tsoulnaras Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece.
  • Nektarios E. Klados Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece.
  • Ioannis G. Pallikaris Department of Medicine, Institute of Vision and Optics, University of Crete, Heraklion, Crete, Greece.

DOI:

https://doi.org/10.9734/bpi/nhmmr/v4/1985B

Keywords:

Posterior capsular cataract, phacoemulsification, cataract complications, posterior capsular rupture, anterior segment optical coherence tomography

Abstract

Aims/Purpose:  To describe the preoperative use of anterior segment optical coherence tomography (AS-OCT) in patients with posterior polar cataract to determine the presence of a pre-existing posterior capsule defect.

Methods: Three patients presented with posterior polar cataract and were evaluated preop- eratively using AS-OCT, revealing in one patient intact posterior capsule and in the other two a pre-existing posterior capsule defect not detectable by slit-lamp evaluation. All patients underwent phacoemulsification and intraocular lens implantation.

Results: We used AS-OCT in our case studies, which is an imaging method that overcomes the limitations of slit-lamp scanning. In instances 2 and 3, we found a ruptured posterior capsule, while case 1 had an unbroken capsule. The inability to detect a "real" capsular defect could be a shortcoming of this imaging technology, since the optical density of the overlaying lens opacity could lead to false positive results.

Conclusion: AS-OCT could be an additional useful imaging modality in these patients, essential for surgical planning and patient consultation.

Published

2022-04-07

How to Cite

George D. Kymionis, Vasilios F. Diakonis, Dimitrios A. Liakopoulos, Konstantinos I. Tsoulnaras, Nektarios E. Klados, & Ioannis G. Pallikaris. (2022). Determination of Anterior Segment Optical Coherence Tomography for Demonstrating Posterior Capsular Rent in Posterior Polar Cataract. New Horizons in Medicine and Medical Research Vol. 4, 97–100. https://doi.org/10.9734/bpi/nhmmr/v4/1985B

Issue

New Horizons in Medicine and Medical Research Vol. 4

Section

Chapters